DENTAL PATIENT REGISTRATION FORMS: MURFREESBORO TN

For your convenience you may print our forms, fill them out by hand, and turn it in during your visit. Should you have questions, please feel free to contact us at (615) 890-0474.

Registration Form
Patient Dental History
Patient Medical History
Financing – Care Credit
Financing – Lending Club

While we accept most insurance, there are times the cost for dental treatment exceeds that afforded by dental insurance. Many times, services are paid by cash, check, or credit card. If these options are not available, then we service our patients through Care Credit or Chase Health Advance. You can pay for your dental treatment up to 18 months at 0% interest!

Periodontal Disease
Gum disease is an extremely common but preventable condition. You may be wondering, if it’s preventable then why is it so common? The lack of understanding, knowledge...
A Message from Your Dentist About the Coronavirus
As health officials seek to contain the coronavirus outbreak, unprecedented safety measures have been issued for our protection. We want to reassure you that Ricafort...
Coronavirus Update
Coronavirus Update In light of the Coronavirus outbreak (Corvid-19) and the concerns we have in our community, know that Ricafort Dental is taking every precaution to...

RICAFORT DENTAL GROUP, 1820 MEMORIAL BLVD., MURFREESBORO, TN 37129 615-890-0474

Hours of Operation:

Monday8:00am - 5:00pm
Tuesday8:00am - 5:00pm
Wednesday8:00am - 5:00pm
Thursday8:00am - 5:00pm